ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A patient is exhibiting an altered level of consciousness and is unresponsive to verbal stimuli. To elicit a response from a painful stimulus, the nurse would:
Correct Answer: B
Rationale: Pinching the trapezius muscle is a standard, safe method to assess response to painful stimuli in an unresponsive patient, per neurological assessment protocols.
Question 2 of 5
A hospice nurse is planning care for a client who has lung cancer. Which of the following statements should the nurse make to incorporate the client's and family's cultural beliefs?
Correct Answer: B
Rationale:
Choice B demonstrates cultural sensitivity by affirming respect for the client's and family's values and preferences, a key aspect of hospice care.
Question 3 of 5
A nurse is preparing to assist with an ocular irrigation for a client who had a chemical splash to the left eye. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Placing pH paper under the upper lid assesses the chemical's pH, guiding the irrigation process to neutralize the substance effectively.
Question 4 of 5
A nurse is caring for a client who has AIDS. Which of the following isolation precautions should the nurse implement?
Correct Answer: B
Rationale: Standard precautions are sufficient for AIDS (HIV), as it is transmitted via blood and body fluids, not through droplets or air.
Question 5 of 5
A nurse is performing an abdominal assessment for a client. Which of the following findings should the nurse identify as the priority?
Correct Answer: D
Rationale: Rebound tenderness indicates potential peritonitis or appendicitis, a critical finding requiring immediate attention.